Parent-infant interaction as a mediator of the relation between neonatal risk status and 12-month cognitive development
Parent-infant interaction as a mediator of the relation between neonatal risk status and 12-month cognitive development
复制标题
DOI：
10.1016/s0163-6383(01)00073-x
复制
发表时间：
2001-01-01
影响因子：
2.1
通讯作者：
Fiese, BH
中科院分区：
文献类型：
--
作者：
Poehlmann, J;Fiese, BH
本研究考察了亲子互动质量作为一种潜在的家庭机制，通过围产期和社会人口风险的结合来预测低体重儿、高体重儿和足月儿的认知发展，在婴儿产后6个月和12个月时评估了早产儿、低体重儿、高体重儿和足月儿母亲对。在6个月时观察到的117名婴儿中，84名（72%）在12个月时返回（44名FT， 20名LBW， 20名VLBW）。新生儿风险水平根据出生体重、Apgar评分、住院时间和插管时间以及呼吸系统并发症的存在进行编码。在6个月时，观察母亲和婴儿玩互动游戏，并对互惠和参与程度进行评分，在12个月时，对婴儿的认知技能进行评估。结果表明，尽管母亲的社会人口学特征并不能调节新生儿风险与认知结局之间的关系，但亲子互动质量在新生儿风险与认知发展之间起中介作用。互惠和参与二元互动显著预测更高的认知得分，控制新生儿和孕产妇风险以及风险之间的相互作用。(C) 2001爱思唯尔科学公司版权所有。
The present study examined parent-infant interaction quality as a potential family mechanism through which the combination of perinatal and sociodemographic risks predicts cognitive development in LBW, VLBW, and full-term infants, Preterm, LBW, VLBW and full-term infant-mother dyads were assessed when infants were 6 and 12 months post-term. Of the 117 infants seen at 6 months, 84 (72%) returned at 12 months (44 FT, 20 LBW, 20 VLBW). Level of neonatal risk was coded based on birthweight, Apgar scores, length of hospitalization and intubation, and presence of respiratory complications. At 6 months, mothers and infants were observed playing an interactional game which was scored for degree of reciprocity and engagement, and at 12 months, infant cognitive skills were assessed. Results indicated that, although maternal sociodemographic characteristics did not moderate the relation between neonatal risk and cognitive outcomes, quality of parent-infant interaction mediated the relation between neonatal risk and cognitive development. Reciprocal and engaging dyadic interactions significantly predicted higher cognitive scores, controlling for neonatal and maternal risks and the interaction between risks. (C) 2001 Elsevier Science Inc. All rights reserved.